Pectopexy vs Sacrocolpopexy for apical prolapse: learning curve and effectiveness

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective randomized trial compares two laparoscopic surgeries for apical pelvic organ prolapse: pectopexy using the iliopectineal ligament versus sacrocolpopexy at Ain Shams University Hospital. The study looks at surgical success and the learning curve for the two techniques, aiming to determine if pectopexy can provide comparable outcomes with potentially easier adoption. Participants have uterine or vault prolapse corresponding to POP-Q stage III or higher, and those with major contraindications or pregnancy-related conditions are excluded. Outcomes likely include anatomical correction, perioperative safety, and recovery factors, with follow-up to assess durability of repair. Prior evidence is largely retrospective; this trial adds prospective randomized data on effectiveness and surgeon learning curves.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients diagnosed with uterine prolapse with POP-Q stage ≥ III.
* Patients diagnosed with vault vaginal prolapse with POP-Q stage ≥ III.

Exclusion Criteria:

* Patients who refuse to participate in the study.
* Patients who have isolated anterior or posterior vaginal wall prolapse.
* Women who are pregnant or lactating.
* Patients with severe comorbidities, including: Serious heart, liver, kidney, or blood diseases or any condition preventing them from tolerating surgery.
* Women with a desire to conceive.

Where it's running

• Ain Shams University Hospital
  Cairo, Abbasia, Egypt Recruiting

Study contacts

• Study coordinator: Rafael Elkess Gabriel William, Resident
• Email: rafailogebrael@gmail.com
• Phone: +201223657844

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.